Dynamic project management professional with extensive experience at Aetna, a CVS Health, leading automation initiatives. Proven track record in enhancing team productivity and achieving significant cost savings through strategic planning and Agile methodologies. Strong leadership and communication skills drive successful collaboration with stakeholders to optimize business processes and deliver impactful solutions.
Manager of Automation team for Medicare Service Operations responsible for Robotic Process Automation as well as new technology to deliver automation.
Manage all Automation Projects to deliver automation and achieve savings. Product/ Business Owner for all initiatives, projects are managed using Agile/Scrum Project Methodology.
Partners with Business, IT and Vendors to identify opportunities for improvement that will benefit and deliver savings using automation.
Responsible for managing all Robotic Process Automation (RPA) Projects for Medicare Claims to deliver automation and achieve savings.
Product/ Business Owner for all Initiatives , projects are managed using Agile Project Methodology.
Partners with IT and Vendors to identify opportunities for improvement that will benefit and deliver savings using automation
Works directly with customers at all levels within the organization and IT staff, providing leadership and functional expertise in facilitating operational business requirements and solution proposals. Conducts business consulting in operations support, IT projects and enhancements, while providing leadership to ensure appropriate collection of information, data analysis, documentation of information, and presentation of findings. Daily mentoring and guidance to staff.
•Conducts analysis of client business processes and functional or reporting requirements. Prepares
appropriate documentation to communicate and validate the information.
•Develops the analysis, directs and participates in the evaluation of existing application products or
reporting methods, and recommends efficient, cost effective solutions which support client business
processes and functional requirements.
•Provides advice and direction to internal customers to ensure that the business requirements are appropriately defined and that an enhancement or project is warranted.
•Applies technical and business knowledge in the analysis of requirements in projects and production support.
•Reporting and analysis of auto adjudication of health care claims, works directly with business partners on recommendations for process improvements and enhancements.
•Responsible for maintaining, developing and implementing system rules in the Managed Care Application using system variables and table column references.
•Subject matter expert in the Managed Care Application Claim Adjudication system.
•Performs knowledge transfer to other staff and training for new staff.
Works directly with customers at all levels within the organization and IT staff, providing leadership and functional expertise in facilitating operational business requirements and solution proposals.
Reporting and analysis of auto adjudication of health care claims, works directly with business partners on recommendations for process improvements and enhancements.
Responsible for maintaining, developing and implementing system rules in the Managed Care Application using system variables and table column reference